A client with peptic ulcer disease is prescribed a proton pump inhibitor (PPI) for acid suppression. The client asks the nurse about the best time to take the medication. Which of the following responses should the nurse provide?

"It is best to take the PPI with your meals to enhance its effectiveness."

"You should take the PPI on an empty stomach, preferably 30 minutes before a meal."

"You can take the PPI at any time of the day, as long as it is taken consistently."

"Taking the PPI before bedtime is most effective for managing nighttime acid reflux."

Answer and Explanation

The Correct Answer is B

Choice A reason:

Taking the PPI with meals is not the most effective timing for acid suppression. PPIs work best when taken on an empty stomach.

Choice B reason:

This statement is correct. PPIs are most effective when taken on an empty stomach, about 30 minutes before a meal. This allows the medication to be absorbed and inhibit acid secretion in the stomach before food intake.

Choice C reason:

While consistency in medication timing is important, taking the PPI at any time of the day may not optimize its effectiveness.

Choice D reason:

Taking the PPI before bedtime may not provide the best acid suppression throughout the day. Taking it on an empty stomach before a meal is a more appropriate approach.

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Correct Answer is A

Explanation

Choice A reason:

This statement is correct. An upper gastrointestinal endoscopy is a diagnostic procedure that uses a flexible tube with a camera (endoscope) to visualize the esophagus, stomach, and duodenum. It helps identify abnormalities, such as peptic ulcers, inflammation, or tumors.

Choice B reason:

Assessing blood flow to the intestines and colon is not the purpose of an upper gastrointestinal endoscopy. This procedure focuses on the upper digestive tract.

Choice C reason:

Evaluating kidney function and the urinary system is unrelated to an upper gastrointestinal endoscopy, which focuses on the upper digestive tract.

Choice D reason:

Diagnosing conditions in the lower digestive tract is not the purpose of an upper gastrointestinal endoscopy. Lower digestive tract evaluations are typically done using colonoscopy or sigmoidoscopy.

A. Hypertension and increased heart rate B. Abdominal distention and bloating C. Melena (black, tarry stools) D. Hyperactive bowel sounds

Correct Answer is C

Explanation

Choice A reason:

Hypertension and increased heart rate are not early signs of gastrointestinal bleeding. In fact, hypotension and tachycardia are more common signs of significant blood loss.

Choice B reason:

Abdominal distention and bloating are not typical early signs of gastrointestinal bleeding. These symptoms may occur due to other gastrointestinal issues but are not specific to bleeding.

Choice C reason:

This statement is correct. Melena, or black, tarry stools, is a classic sign of upper gastrointestinal bleeding and indicates the presence of partially digested blood in the stool.

Choice D reason:

Hyperactive bowel sounds are not early signs of gastrointestinal bleeding. Bowel sounds may be hyperactive or hypoactive depending on the severity of the bleeding and associated factors.

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A client with peptic ulcer disease is prescribed a proton pump inhibitor (PPI) for acid suppression. The client asks the nurse about the best time to take the medication. Which of the following responses should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with peptic ulcer disease is scheduled for an upper gastrointestinal endoscopy. The client asks the nurse about the purpose of the procedure. Which of the following responses should the nurse provide?

Correct Answer is A

Explanation

A client with peptic ulcer disease is at risk of developing a gastrointestinal bleed. The nurse should assess the client for which of the following early signs of bleeding?

Correct Answer is C

Explanation

A nurse is caring for a client suspected to have cholecystitis. Which of the following diagnostic tests should the nurse anticipate as the first-line imaging study to confirm the diagnosis?

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A nurse is providing education to a client recently diagnosed with peptic ulcer disease. Which of the following risk factors should the nurse emphasize as contributing to the development of the client's condition?

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